EDITORIAL – NEW YORK TIMES

September 6, 2011

Haiti’s Needless Cholera Deaths

A cholera outbreak has killed more than 6,000 people in Haiti since October and is far from under control. More than 420,000 people have been sickened since the disease emerged in a rural area north of Port-au-Prince, apparently after sewage from an encampment of United Nations peacekeepers contaminated the Artibonite River.

Cholera is preventable and easily treated, but containment has been stymied by the chronic deficiency — or utter absence — of clean water and sanitation systems in Haiti, particularly in the countryside, where cholera hit first and hardest. The cholera mortality rate in Haiti’s vulnerable Southeast region was 5.3 percent in July. Access to proper treatment could keep that rate below 1 percent.

The United Nations’s Pan-American Health Organization, the United States and the rest of the international community should be working with the Haitian Health Ministry to wage a more aggressive and effective effort, which should include not only clean water and sanitation systems but more antibiotics and cholera vaccinations. A cheap, effective cholera vaccine is available, but there are currently fewer than 400,000 doses worldwide. Ramping up manufacturing to make more vaccine could be readily done and would have global benefits.

Cholera victims are among the many casualties of the unfinished rebuilding of Haiti, still choked by rubble and political paralysis. Haiti’s new president, Michel Martelly, a political novice, has been unable to form a government. Donations have lagged, construction plans are stuck on drawing boards and hundreds of thousands are in displaced-persons camps, hot spots of disease and suffering.

A United Nations report in August warned that money and manpower are running short. Staff members assigned to cholera treatment centers was decreasing, it said, as “humanitarian partners are gradually reducing their operations.” In many areas, nongovernmental health organizations are handing treatment facilities over to the Health Ministry, which lacks capacity to support them.

The ministry, like practically every government agency, was flattened in the quake and has barely benefited from the flow of aid. Controlling this epidemic requires building up the public sector — which is the only hope for Haitians after charitable aid dries up.
_____________________________________________________________________

COMMENT: HAITIAN-TRUTH.ORG

Treatment is not available to multitudes of Haiti’s population. These people don’t even have access to aspirins, let alone the required support for treatment of Cholera. These multitudes simply suffer and die, unnoticed throughout the backwoods of Haiti. (Backwoods is, of course, a phrase foreign to the Haitian environment, since almost all trees have been cut down.)

The estimated loss of life is much too low. It is our belief that the criminally initiated cholera epidemic has taken more than 20,000 lives, a total that will accelerate as an estimated 1,100,000 are infected before the New Year.